Medical Collection Specialist

JOB TITLE: Medical Collection Specialist REPORTS TO: Revenue Cycle Manager FLSA STATUS: Non-Exempt JOB SUMMARY: In-depth knowledge of Procedural Coding, Specialist in identifying appropriate ICD10 coding based on CMS/HCC categories, CPT, HCPCS CMS 1500 FORM, Super Bill, Electronic Claims Submission and Clearing House Operations, EOB, Payments, Denials, and appeals. QUALIFICATIONS/EDUCATION:High School Diploma required. Minimum one (1) year of experience in medical billing and/or medical collections. Experienced candidates may be considered for a remote work arrangement. Remote candidates must reside and work within the State of Florida. eClinicalWorks (eCW) experience preferred. Pathology billing experience preferred. Bilingual English/Spanish preferred; must be able to read, write, and speak English. CERTIFICATIONS/LICENSES: CPC Certified Preferred ABILITIES/SKILLS: In depth knowledge of ICD10 and HCPCS coding. Excellent communication, Customer Service and telephone skills. Strong organizational skills and ability to multi-task effectively. Must be able to work independently with minimal supervision. Able to respect and maintain patient confidentiality at all times. Functions with minimal direct supervision. Must be dependable and conduct him/herself in a professional manner. Demonstrates skill in use of personal computers, various programs and applications required to competently execute job duties. Must be able to follow policies and procedures. ESSENTIAL DUTIES/ RESPONSIBILITIES: Identify denial trends and make recommendations for resolutions. Process rejections/denials and resubmit claims as needed. Appeal denied claims and follow up as needed. Answer patients’ or insurers’ billing questions and resolve issues or disputes in a timely manner. Review patient information to determine or identify claim denial causes. Communicate with insurance companies for claim(s) payment. Request correct adjustment to resolve outstanding account balances. Maintain accurate and detailed chart notes in the system. Follow- up on patient denials prior to the payer’s appeal deadline. Perform any other duties as assigned. PRE-EMPLOYMENT REQUIREMENTS Criminal Background Check We offer a competitive salary; Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.